Los Angeles daily herald., 1887-05-12
G A T A r r FL

THE TERM CATARssH h AP-
l. piled to peculiar disorder OF the
nostrils and adjacent parts, which prevails
to an alarming extent and Is productive OF
very serious consequences.
The most prominent aud characteristic
features is a morbid discharge from the
head, varying In its nature at different
times.
In some there is an almost constant flow
of clear acidstluid, but oftener an offensive,
purultnt, or muco-purulent, greenish.yel-
low matter is seereted, which accumulates
In the nostrils or drops into the throat,
necessitating its frequent removal by blow
lug the nose or expectoration. aud often by
bosn processes. sometimes patients feel as
though their whole head was in state of
rottenness, so great is the amount of matter
discharged and SO fetid is its oder. The
patient is greatly annoyed by the constant
dropping INTO the throat OF the morbid
position neturallv favors the now down
wa d, his rest Is frequently disturbed from
this cause. Many sufferers are obliged to
lie with the head very much elevated in
order TO sleep with some degree OF COM
In others a tough, viscid and oife nsive
phlegm collects behind and above the soft
palate, in the passage between the throat
and head, adhering to the parts with gluish
tenacity. Its lodgment embarrasses refpt.
ration and creates a sensation of irritation
and uneasiness in the affected locality.
which gives Iise to a constant and almost
by drawing the mucous into the throat so an
to eject il by the mouth This practice,
popularly known as "hawking," Is charac-
teristic OF catarrh, and proves as embar
RAISING to the one Affected us II Is disagree
| able to those around him
Again, the offensive matter hardens and
deposits itself on the membrane in the
| shane OF dry, hard concrelions. which are
discharged by way of the nos'rils or throat
| in Jumps or fragments of deep green uuI
| In some cases these incrustations accumu-
late TO such an extent as to form regular
| plug in the nose, which obstructs breathing
| and produces serious discomfort. So firmly
| do these incrustations adhere TO the point
| of attachment that their removal ually
| erquires the most violent efforts; pot unfre-
quently they have to be toro from the mem-
| brane. Occasionally solid cast OF notable
| size Is expelled, on which there are gener-
| ally traces of blood, but In some cases the
| cast presents tubular appearance, being
| of exact shape of the nssal cavity. This
! condition is indicative of liberation, which
in time may destroy the bony structure of
the nose and produce subsequent itatten-
| ing OF hat organ.
| Gases are occasionally met with IN which
| a thick, yiscid, Shiny secretion GOATS the
membrane of the nasal cavities and then
putrihes, giving rise to stencil which is
really overpowering and sufficiently fetid
to poison the atmosphere ofa whole room; /;
and there are others in which ell the secre-
tions of the membrane are suspended, caus-
ing al unpleasant feeling Of dryness, heat
and feverishness in the head aud nose-a
condition popularity known as "Dfy Ca
| tarrh"
The disease speedily extends to the air
cavities of the bones of the forehead and
face, giving rise to distressing sensation
Of heavy weight or compression over the
forehead, especially In the region above
end between the eyes, and to feeling OF
fulluess, heat, irritation, soreness or pain
in the nostrils near the root of the nose. HI
well as in the upper part Of the throat. above
and behind the soft palate. Sometimes
there is pain obstinately fixed In some par.
ticulaI part. as in the temple, on the top OF
the head, at the back of the neck, or behind
the orbits, and occasionally pain manifests
itself In the face of SO severe a character
that 1t is frequently mistaken for neuralgia
| The breath lis always tainted and at times
| assumes an exceeding fetid and sickening
odor. In some cases 1t becomes so revolt
ingIy offensive as to render the sufferer
an object OF disgust TO himself as well as to
others.
The nasal membrane is thickened and
| cOngested, causing the nose to be stopped
up, sometimes on one side, sometimes on
the other, and often on both, giving ris 9 10
disagreeable stuffy sensation in the head
and occasioDing violent and prUlonhed
tparoXysms of sneeZing.
The voice is weak, indist.nct and husky
or of a nasal character, displaying sort OF
shifting quality. oftentimes there Is con
tinuOus hoarseness and discordance. There
ID also sense of irritation in the throat
and frequent attempts to clear tho parts oi
phlegm, producing the sound "hem" more
or less iorcibly. In some cases patients
complain of an uncomfortable feeling OF
fullpess. or choky sensation in the throat
and in others of a distressing and almost
constant dryness, for the temporary RELIEF
of which they have to swallow frequently
Others. again, speak of constant bad oil
nauseous taste In the mouth or throat.
The stomach generally suffers more OF
less and becomes weak and irritable; the
appetite is capricious and nearly always bad
In the morning. The patient Is languid, qn-
able to perform mental or physical labor
with the usual facility; is nervous, de-
pressed in spirits, at times fearful, timid
sgitated and inclined to drowsiness and
sleep, the memory weakened and perman
ent impairment threatened.
The mucus membrane soon becomes NOR
bidly sensitive to unfavorable influences
and IN spite of the utmost care becomes af
feoted from the slightest causes. SO that a
last breath OF wind upon the lining of the
nose or throat becomes prod ctive of cold
snd gives rise TO serious disturbances of the
respiratory organs. Thus the patient is sub
iect 10 frequent and repeated colds, each
attack aggravating. the disease by giving II
a new impulse and involving a larger ex'
tent or surface than Its predecessor. In this
manner the difficulty spreads from organ Il
, organ, invading the Throat larynx, traohea
and bronchial tubes, until, encroachinl
further and further, 1t reaches the fnel
ramifcations of the bronchi, when but .
slight impulse is required to send IL TO tbs
| lungs. ChWrrn may, ana Oiten does, aHec
other organs in the body, especially th0ss
containing mueus membrane, such rs the
stomach, bowels, Kidneys, etc.
BY the employ ment OF proper inhalstioni
! In the form OF medicated vapor mot steam
/ or spray we are able to produce immediate
and direct action upon the diseased surface
in the pharynx and nasal passages, for all
| VIII fnd.ts way into the most remote and
intricate cavities. where 1t is utterly impos
! sible to make fluid applications. By these
means every case can be cured.
OZENA.
oznna is the professional or technical
name given to the advanced form of catarrN
In which liberation has eaten through the
membrane lining of the nose to the cartil
age of the bone. Any case of catsrrh may
| end iD ozena, but 1t most frequently Occuri
In those who are naturally scrofnlous. The
discharge takes place through the nostrils
. or through the throat, and is generally of a
yellcwish or greenish yellow color, freqent